Mccarthy, Timothy J.

Mccarthy, Timothy J. is an sole proprietor health care provider with primary practice located at 8400 Normandale Lake Blvd Suite 920, Bloomington MN 55437-1085. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mccarthy, Timothy J. can be contacted via phone (952) 921-8248.

Contact Information

Primary practice address
8400 Normandale Lake Blvd Suite 920 Bloomington MN 55437-1085
Phone: (952) 921-8248
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 2386 Minnesota

Profile Details

NPI number 1972541704
LBN Legal business name Mccarthy, Timothy J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Aug 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972541704 NPPES
Minnesota Other 26773MC BLUECROSS
Minnesota Other 875-001 BLUECROSS
Minnesota Other 61-20100 BLUECROSS

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